Method applied to intra-abdominal pressure monitoring of critical patient

Abstract

The invention relates to a method applied to intra-abdominal pressure monitoring of a critical patient. The invention specifically provides application of a bladder pressure monitoring instrument in monitoring of bladder pressure of the critical patient, and further provides a method for monitoring the bladder pressure of the critical patient. Under the conditions that a crista iliaca axillary midline serves as a pressure measuring point, the body position of the patient is 0-15 degrees, the volume of normal saline infused into the bladder is 10-25 mL, and the temperature of the normal salineis 25-37 DEG C, an intra-abdominal pressure monitoring result obtained through the monitoring method is not accurate and high in repeatability, but also is more sensitive to fluctuation of the bladderpressure of the patient and capable of reflecting the fluctuation condition of the bladder pressure of the patient more obviously. Particularly, for the critical patients difficult to lie flat, the 15-degree body position is selected, and the comfort level of the critical patients can be further improved. The bladder pressure monitoring method disclosed by the invention is particularly suitable for the critical patients difficult to lie flat, the comfort of the patient during monitoring can be improved, and the bladder pressure monitoring method has a good application prospect in timely and accurately monitoring fluctuation conditions of bladder pressure and intra-abdominal pressure of the critical patients.

Description

technical field [0001] The invention belongs to the field of physiological parameter monitoring, and in particular relates to a method for monitoring intra-abdominal pressure of critically ill patients. Background technique [0002] In recent years, intra-abdominal pressure (IAP), as one of the important physiological parameters, has been widely used in clinical practice. Sustained or repeated elevation of IAP, which will adversely affect the functions of various organs of the human body after reaching a certain level, may lead to dysfunction of cardiovascular, lung, kidney, intestine, brain and other organ systems, and in severe cases, it will develop into the abdominal cavity Compartment syndrome (abdominal compartment syndrome, ACS), causing multiple organ dysfunction, failure, and even death. Ten cohort studies from 2004 to 2011 showed that the incidence of ACS in the intensive care unit (ICU) ranged from 1% to 12%. Therefore, monitoring the value and fluctuation of in...

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Problems solved by technology

[0005] The current clinical method of measuring bladder pressure is carried out when the patient is in the supine position. Considering that most critically ill patients (such as patients with severe acute pancreatitis) are difficult to lie supine, the existing monitoring methods are not suitable for critically ill patients , and using the current method to monitor critically ill patients also has the problems of insensitivity to fluctuations in bladder pressure, inaccurate monitoring data, and low repeatability

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